Nonlaser Transurethral Resection of the Prostate
The monopolar loop electrode has been the cornerstone of surgical treatment for benign prostatic hyperplasia (BPH). However, it is not perfect and is associated with well-known complications that have spurred a plethora of alternative advancements in the surgical management of BPH. Two nonlaser transurethral prostatectomies are the bipolar transurethral resection of the prostate (biTURP), which is an endoscopic technique similar to monopolar TURP, and Aquablation, which is a surgeon-planned, image-guided, and robotically executed technique to resect prostate tissue using a high-velocity waterjet. We describe key steps in the preoperative, operative, and postoperative settings with particular focus on the surgical technique and patient preparation for these two procedures. In addition, we outline key studies characterizing efficacy, durability, and safety outcomes for both techniques. Both procedures have similar indications while patient selection criteria may differ slightly.
KeywordsBipolar TURP BPH Bipolar TURP technique Aquablation Complications of bipolar TURP and Aquablation
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